著者

児玉 憲一 夜西 麻椰 北川 奈津子 清水 彩永 江川 克哉

出版者

一般社団法人 日本プライマリ・ケア連合学会

雑誌

日本プライマリ・ケア連合学会誌 (ISSN:21852928)

巻号頁・発行日

vol.46, no.3, pp.107-111, 2023-09-20 (Released:2023-09-22)

参考文献数

6

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症例は50代,女性.頭痛,嘔気などを主訴に受診.血液検査での甲状腺中毒症及びTSHレセプター抗体陽性,甲状腺の超音波検査所見からバセドウ病と診断した.入院の上でチアマゾールにて治療を開始したが入院後に幻視や幻聴などの精神症状が出現し甲状腺クリーゼの診断基準を確実例として満たした.チアマゾール増量とヨウ化カリウム追加で対応したが,甲状腺機能改善下での精神症状出現に違和感を持った.血液検査を見直して気づいた偽性高クロール血症を端緒に市販のブロムワレリル尿素含有鎮痛薬乱用が判明,一連の精神症状は慢性ブロム中毒の離脱によるものが疑われた.向精神薬開始により精神症状は軽快,甲状腺機能については以降も順調に改善して退院した.甲状腺クリーゼは早期に疑い治療を開始すべき病態であるが,甲状腺疾患に精神症状を来す他疾患が併発すると診断基準偽陽性となることに注意が必要であると考える.

著者

児玉 憲一 一円 禎紀

出版者

日本心理臨床学会 誠信書房(発売)

雑誌

心理臨床学研究 (ISSN:02891921)

巻号頁・発行日

vol.15, no.1, pp.98-103, 1997-04

被引用文献数

1

著者

笹原 健夫 児玉 憲一 上林 美保子

出版者

日本作物学会

雑誌

日本作物學會紀事 (ISSN:00111848)

巻号頁・発行日

vol.51, no.1, pp.26-34, 1982-03-20

被引用文献数

6

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Varietal Variations in the structure of ear and the size of grain were examined on thirty-two varieties, belonging to the different ecotypes. Five types of ear were classified principally based on the differences in number of grains on the secondary rachis-branch with the nodal position of the primary rachis-branch on a rachis (Fig. 1). Ear type I: The number of grains on the secondary rachis-branch was numerous in basal position of the car and became less towards the top of car. Ear type III: The number of grains on the secondary rachis-branch was also numerous in the middle position of car. And car type V: the number of grains on the secondary rachis-branch was numerous in the upper position of ear and became less towards the basal position. Two intermediate types, i.e., ear type II and IV were set in betwen type I and III, and type III and V, respectively. Indica varieties, which had larger total number of grains per ear than others, belonged to ear type III-V. Large grain varietics, which were larger in grain size than others, belonged to ear type I-II , and japonica cultivars belongcd to ear type I-III (Table 1, Fig. 2 and 3). The primary rachis-branch was numbered acropetally. The ratio of a nodal number of the primary rachis-branch having the maximum number of grains on the secondary rachis-branch to total number of the primary rachis-branch per ear was in the range of 4.3-3.8 in type I, 3.8-2.8 in type II, 2.6-1.9 in type III, 1.9-1.6 in type IV and below 1.6 in type V (Fig. 1). In a previous paper (SASAHARA, et al., 1982), it was reported that increasing rate of car weight at the maximum increasing period was higher in indica and large grain varieties than in japonica ones. Therefore, it may be concluded that indica varieties in which the grains on the secondary rachis-branch would have recieved the effect of apical dominance due to their abundant existence in the upper position of ear, and may result in increased rate of ear dry weight. On the other hand, in large grain varieties the less grain number in the upper position of ear could be compensated by the large grain size, resulting in high increasing rate of ear dry weight similar to indica varieties.